NewMuni Calls works the payer phones 24/7

A relentless back office
for every claim

AI that drafts the appeals, works the payer phone lines, and chases every denial — so your practice stops leaving revenue on the table.

Start with one denial. We draft it free. Pay only when revenue comes back.

Recovering revenue from

  • Aetna
  • BCBS
  • UnitedHealthcare
  • Cigna
  • Humana
  • Anthem
The Muni agent

Give every denial a 1:1 expert.

One agent that drafts, calls, and remembers — working your back office around the clock, on every claim at once.

01

Drafts the appeal the moment a denial lands.

Muni reads the denial, pulls the payer's own policy, and writes a specialty-aware appeal with the right citations — ready to send in minutes, not days.

Denial intake
Aetna · EOBCO-50 — services not medically necessary. Claim denied: $14,250.
Reading denial · matching payer policy…
Appeal drafted with CPB 0245 citation + chart evidence. Ready to file.
02

Sits on hold with the payer so your staff never does.

Prior-auth follow-ups, claim status, eligibility checks. Muni navigates the phone tree, waits on hold, and hands back a structured outcome — not a voicemail.

On the phone
Calling UnitedHealthcare provider line for auth status…
On hold · 11 min · navigating IVR
RepAuth #UA8841 approved through 09/30. Reference noted.
Outcome logged to the claim. No staff time used.
03

Remembers every payer rule and carries it forward.

Every overturned denial teaches the system. The next claim goes out already knowing exactly what this payer needs to hear to say yes.

Memory
Pattern learned: BCBS TX overturns CO-197 with ordering-provider NPI attached.
Applied to 3 open claims automatically. Re-denials avoided.
The quiet math

The math you already run in your head.

It's why your biller stays late, your providers see fewer patients than they could, and revenue you've already earned never reaches your account. Muni changes that math.

Industry ranges for small specialty practices

If one feels familiar, start with one denial.

30–40%
of commercial claims
are denied on first submission
EOB sample
Aetna · EOBCO-50 · not medically necessary. Claim denied.
Appeal draft started.
<15%
of denied dollars
are ever recovered by the practice
Recovery gap
Denied balance$14,250 still sitting in accounts receivable.
Pursue only if recovery is possible.
8–12 hrs
of staff time per week
lost to prior authorization alone
Work queue
Payer callAuth status check · hold time projected.
Muni waits. Outcome gets logged.
18–24 mo
average biller tenure
payer knowledge walks out the door
Rule memory
Pattern learnedBCBS TX wants ordering-provider NPI attached.
Applied to the next open claims.
Sound familiar?

The moments when practices call us.

Most teams do not shop for software in the abstract. They reach out when a payer, a staffing gap, or an EHR renewal makes the old workflow impossible to ignore.

Appeals01

Muni can pick up the backlog, draft the appeals, and show what is worth pursuing before you rebuild the role.

Talk through the backlog
Appeals02

Send one denial. We draft the appeal free and you only pay if recovered revenue comes back.

Start a free appeal
Calls03

Muni Calls handles the IVR, hold time, and follow-up loop, then returns a structured outcome.

Book a Calls demo
EHR04

Join the Muni EHR early-access list for a specialty-tuned record built around notes, auth, and appeals.

Join the EHR waitlist
One platform · Three products

Three ways to get paid.

Most clinics start with Appeals — it pays for itself before you sign anything else. Add Calls when the phones get loud.

Start here

Appeal engine

Muni Appeals

AI-drafted appeals for every denial.

Specialty-aware arguments, payer-policy citations, and outcome tracking. Pay only when we recover.

Live

Phone line

Muni Calls

AI on the phone with every payer.

Prior-auth follow-ups, claim status, eligibility. Muni waits on hold and returns a structured outcome.

Coming 2026

Clinical record

Muni EHR

Documentation built for getting paid.

A specialty-tuned record where the clinical note, the prior auth, and the appeal evidence are one document.

Your first appeal is the proof

See the actual work before you commit.

Send one denial. Muni drafts the appeal free, shows the policy logic, and gives your team a concrete output to review.

First denial packet

A real appeal, not a demo.

Send one denial. We return the draft, evidence checklist, and next-step recommendation before you commit to anything bigger.

No upfront fee. No EHR migration. Pay on recovery.

01

Draft appeal letter

A ready-to-review argument your team can file.

02

Payer-policy citations

The rule logic behind the appeal, not a black box.

03

Evidence checklist

What to attach from the chart before submitting.

04

Recommended next step

File, call, wait, or drop it if recovery is unlikely.

Specialty fit

Built for small specialty clinics, not hospital defaults.

Muni works best where payer rules, procedure codes, prior auth, and documentation all collide. The system arrives with specialty logic already mapped into appeals, calls, and the coming EHR. We are also onboarding ENT, urology, rheumatology, endocrinology, surgery centers, and other PA-heavy specialties.

01

Dermatology

Procedure-heavy claims

Mohs pre-authbiologicsin-office denials
02

Orthopedics

High-dollar authorization

imagingDMEjoint procedures
03

Gastroenterology

Policy and coding nuance

colonoscopy editsstep therapyscreening vs diagnostic
04

Psychiatry

Access and parity pressure

session limitsmedication PAmedical necessity
05

Cardiology

Acuity and documentation

imaging authdevice authevidence packets
06

Ophthalmology

Recurring therapy complexity

anti-VEGFvision plan rulescoding edits

Questions we hear from practice managers

The honest answers, before you book a call.

2–10 provider specialty practices billing primarily commercial insurance — dermatology, orthopedics, GI, psychiatry and mental health, cardiology, ophthalmology and similar. We are not built for hospital systems, FQHCs, or Medicare-FFS-dominant practices. If your admin team is 1–3 people and they're drowning in prior auth and denials, you're our customer.

There's no upfront cost. We only charge a percentage of denied dollars we successfully recover. If we don't overturn the denial, you pay nothing for that appeal. This is why most clinics start with Appeals — there's no procurement risk to find out whether it works.

You connect your billing system (or upload a denial report). We pull the open denials, our AI drafts the appeal letters with payer-specific arguments and clinical citations, and a reviewer at our end (and yours, if you want) signs off before submission. You see the worklist, the outcomes, and the recovered dollars in a dashboard. Most clinics see their first overturned denial within 2–3 weeks.

Aetna, Blue Cross Blue Shield (all 34 affiliates), UnitedHealthcare, Cigna, Humana, Medicare, Medicare Advantage, and most state Medicaid plans. Our payer policy library covers commercial first because that's where the ICP's denial dollars live.

No. Appeals and Calls integrate with the EHR/PM you already run — AdvancedMD, Kareo, DrChrono, athenaHealth, eClinicalWorks, NextGen, and others. Muni EHR is in development for clinics that eventually want to consolidate, but it is not a prerequisite.

We are HIPAA-compliant and sign a BAA with every customer. Patient data is encrypted in transit and at rest. We do not use protected health information to train shared AI models. Audit logs are available for every action Muni takes on your behalf.

A billing service charges a percentage of your total revenue for ongoing claim submission. We're not that. Muni runs the highest-friction pieces of the back office — appeals, payer calls, eventually documentation — using AI rather than a team of offshore staff. You keep your existing billing relationship if you have one; we handle the work it can't.

Early-access onboarding begins in 2026 for specialty clinics already on Muni Appeals or Calls. The EHR will ship with specialty presets out of the box and the same payer-policy intelligence that powers our other products. Join the waitlist to be in the first cohort.

No upfront cost · Pay when we win

Send us your worst denial.

Upload one denial. We draft the appeal free. If it overturns, you decide whether Muni should handle the rest.

HIPAA compliant · No EHR migration required · Live in days, not months